BRANDON BLAKE DDS PA NPI 1639686736

NPI Information

NPI: 1639686736
Provider Name: BRANDON BLAKE DDS PA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
122 HARDEES LN
BANNER ELK, NC
ZIP 28604
Phone: (828) 898-4656
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BRANDON BLAKE DDS PA is a dental clinic center in Banner Elk, NC. BRANDON BLAKE DDS PA NPI is 1639686736. The provider is registered as an organization entity type.

The provider's business location address is:

122 HARDEES LN
BANNER ELK, NC
ZIP 28604-683
Phone: (828) 898-4656

The provider's authorized official is Brandon Joseph Blake .
The authorized official title is Owner/dentist and has the following contact phone number (828) 442-3206.

The enumeration date for this NPI number is 1/10/2018 and was last updated on 1/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	8380	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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